Template

Environment of Care Checklist

by Nicole Tietz, from the Community

20+

This Environment of Care checklist supports hospital teams in assessing safety and compliance across patient care areas. It covers corridors and egress, life safety systems and fire equipment, glucometer hygiene, crash cart readiness, and equipment warmers with documented temperature ranges. Inspect clean and dirty utility rooms, storage practices, oxygen cylinder handling, and nutrition room logs. Review medication room security, labeling, and cold-chain monitoring. Verify eyewash stations, infection control practices, hand hygiene, isolation signage, and biohazard labeling. Includes staff competency checks, preventative maintenance tags, alarm response, and protection of patient information.

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Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Environment of Care Inpatient Checklist
This inpatient Environment of Care checklist supports hospital teams in auditing corridors, utility rooms, medication rooms, kitchens, and patient care areas for safety, cleanliness, and regulatory compliance. It covers fire safety and egress, equipment and power management, infection prevention, oxygen storage, refrigeration and temperature logs, medication security and labeling, linen handling, and eyewash stations. Sections also include staff interviews on SDS access, emergency preparedness, hand hygiene, disinfectant contact times, and psychiatric-unit specific controls.
by Anne Steele, from the Community
Downloads: 20+
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Template
KRMC PS Go To Gemba Audit
This Go to Gemba audit tool supports hospital patient safety rounds across units. Use it to verify environment of care standards, life safety and egress, equipment condition, hazardous room security, eyewash and refrigeration logs, and biomedical maintenance. Confirm protection of confidential patient information, proper storage and labeling, and staff identification. Review infection prevention practices, PPE availability and use, hand hygiene supplies, biohazard and sharps disposal, and separation of clean and soiled items. Assess medication management, controlled substance security, expirations, and cold-chain controls. Capture unit quality dashboards, posted patient rights, and point-of-care testing controls. Record team engagement and observations to drive continuous improvement.
by Shawn Butler, from the Community
Downloads: 0
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Template
Environment of Care and Life Safety Rounding Checklist
Conduct comprehensive environment of care and life safety rounds with this checklist. Review safety management practices, fire doors and extinguishers, egress and storage, patient room and equipment conditions, and hand hygiene. Verify security controls, badge use, medication room access, and infant abduction procedures. Check hazmat storage, SDS access, PPE, eyewash stations, and waste handling. Assess infection control measures, air pressure relationships, and utility systems including lighting, medical gas, and emergency exits. Monitor HIPAA privacy risks and optional water management logs.
by Stephen Cranford, from the Community
Downloads: 0
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Template
Environment of Care Rounds Checklist
This Environment of Care Rounds checklist helps hospitals and clinics inspect critical safety domains across clinical and non-clinical areas. It covers review of previous inspections, fire prevention and door compliance, electrical safety, general safety and housekeeping, hazardous materials and biohazard controls, medication storage, security management, utilities and building systems, primary care office readiness, cleanliness of patient and public areas, and food and nutrition standards. Use it to document findings, maintain compliance, and improve patient and staff safety during routine rounds.
by Judy Reamy, from the Community
Downloads: 10+
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Environment of Care Checklist

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